Organization
SOONKI LEE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOONKI LEE DDS (OWNER)
(213) 384-1036
Entity
Organization
Contact information
Practice address
3030 W OLYMPIC BLVD STE 216, LOS ANGELES, CA 90006-6507
(213) 384-1036
Mailing address
3030 W OLYMPIC BLVD STE 216, LOS ANGELES, CA 90006-6507
(213) 384-1036
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DDS62164
CA
Other
Enumeration date
02/09/2018
Last updated
09/13/2018
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